Lamberts R, Nitsche R, de Vivie R E, Peitsch W, Schauer A, Schuster R, Tebbe U, Kreuzer H, Creutzfeldt W
Department of Internal Medicine, Georg August University of Göttingen, FRG.
Digestion. 1992;53(3-4):200-9. doi: 10.1159/000200995.
An 18-year-old female patient was admitted with ascites, right upper abdominal tenderness and peripheral edema. Angiography showed complete occlusion of the vena cava inferior up to the level of the right atrium. By open heart surgery, masses of thrombotic material were pulled out of the v. cava inferior/vv. iliacae which histologically contained tumor cell populations consistent with a hepatocellular carcinoma. Celiacography showed a highly vascularized tumor in the right hepatic lobe. Histologically, it proved to be fibrolamellar subtype hepatocellular carcinoma.
一名18岁女性患者因腹水、右上腹压痛和外周水肿入院。血管造影显示下腔静脉直至右心房水平完全闭塞。通过心脏直视手术，从下腔静脉/髂静脉中取出大量血栓物质，组织学检查显示其中含有与肝细胞癌一致的肿瘤细胞群。腹腔动脉造影显示右肝叶有一个血管高度丰富的肿瘤。组织学检查证实为纤维板层型肝细胞癌。
